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CPT code 95180: Rapid desensitization, hourly service2026 Medicare rate & RVUs in North Carolina

Reports monitored, stepwise medication desensitization performed over multiple hours to help a patient with drug hypersensitivity receive a needed therapy.

CMS RVU26DEffective Oct 1, 2026One payment locality11.8K Medicare services in 2024

In North Carolina, Medicare pays $132.20 for 95180 in the office and $84.83 when it’s performed in a hospital or facility.

$132.20Office (non-facility)
$84.83Hospital or facility
−3.9%vs the national office rate ($137.61)

Check a contract rate as a % of Medicare · 95180 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 95180 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 95180 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 95180 covers

An allergist uses rapid desensitization to gradually increase a patient’s exposure to a medication that has caused or may cause an immediate hypersensitivity reaction. Examples include antibiotics, aspirin, chemotherapy agents, and biologic drugs when desensitization is needed to permit treatment. The clinician administers escalating doses under close observation for reactions, commonly in a monitored outpatient setting or hospital environment equipped to respond to acute symptoms.

Report 95180 by the hour, supported by documentation of the procedure’s duration and the dosing protocol. The record should identify the medication, dose escalation, monitoring, any reactions, and whether the protocol was completed or stopped. Physician supervision and interpretation are included in the service. This is distinct from routine scheduled allergen immunotherapy injections, which do not involve a prolonged medication desensitization protocol.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How North Carolina compares for 95180

Across 109 of 109 payment localities, the office rate for 95180 runs from $126.87 in Arkansas to $174.56 in Alaska. North Carolina pays $132.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

95180 in North Carolina vs other payment areas
  1. North Carolina · this page$132.20
  2. Los Angeles, CA · California$152.05+$19.85
  3. Washington, DC area · District of Columbia$153.63+$21.43
  4. Miami, FL · Florida$143.98+$11.78
  5. Chicago, IL · Illinois$141.45+$9.25
  6. Manhattan, NY · New York$154.32+$22.12
  7. Alaska · Alaska$174.56+$42.36

Other areas in North Carolina first, then benchmark localities. Bars start at $0.

Every other payment area

95180 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$128.08$83.66
ArkansasArkansas$126.87$83.26
ArizonaArizona$135.16$85.97
Bakersfield, CACalifornia$144.51$88.87
Chico, CACalifornia$144.21$88.57
El Centro, CACalifornia$144.22$88.58
Fresno, CACalifornia$144.21$88.57
Hanford, CACalifornia$144.21$88.57

95180 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$126.87

$174.56

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
95180 office rate range by state
State / territoryOffice rate rangeLocalities
AK$174.561
AL$128.081
AR$126.871
AZ$135.161
CA$144.21–$174.0329
CO$142.271
CT$144.691
DC$153.631
DE$136.891
FL$135.79–$143.983
GA$130.70–$139.372
GU$145.961
HI$145.961
IA$130.411
ID$130.931
IL$133.00–$141.734
IN$131.441
KS$129.911
KY$129.851
LA$129.68–$133.912
MA$141.82–$153.332
MD$138.91–$153.633
ME$131.28–$136.142
MI$131.99–$136.832
MN$137.941
MO$128.15–$134.353
MS$127.531
MT$137.611
NC$132.201
ND$136.221
NE$130.911
NH$140.111
NJ$146.79–$152.902
NM$132.431
NV$137.291
NY$133.51–$156.795
OH$131.701
OK$129.801
OR$136.64–$145.652
PA$131.90–$142.072
PR$138.331
RI$140.881
SC$132.081
SD$136.061
TN$130.331
TX$131.31–$141.438
UT$133.281
VA$135.77–$153.632
VI$138.331
VT$135.781
WA$141.54–$156.012
WI$133.131
WV$129.691
WY$137.001

See 95180 in every payment locality

How the 95180 rate is calculated

Each of 95180’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 95180

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.01

2.01 RVUs× 1.000 GPCI

Practice expense2.04

2.04 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

4.1200

Conversion factor

$33.4009

Medicare rate

$137.61

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,489

Code
95180
Physician work
2.01
Practice expense
2.04
Malpractice
0.07

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Office calculation for 95180 in North Carolina
ComponentRVULocality factorAdjusted
Physician work2.01× 1.0002.0100
Practice expense2.04× 0.9331.9033
Malpractice0.07× 0.6390.0447
Total RVUs3.9580
Conversion factor× 33.4009

Office rate, North Carolina$132.20

Office: (2.01 × 1 + 2.04 × 0.933 + 0.07 × 0.639) × $33.4009 = $132.20

Facility: (2.01 × 1 + 0.52 × 0.933 + 0.07 × 0.639) × $33.4009 = $84.83

Open 95180 in the RVU calculator

Payment rules and modifiers for 95180

95180 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 95180

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$137.61

Non-facility (office)
$137.61
Facility
$86.84

Higher because the practice carries its own overhead.

Codes related to 95180

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 95180
CodeHow it relatesOffice range, North Carolina
Used instead
95115Allergy shot, single injection, extract not includedRoutine single-injection allergen immunotherapy administration, not prolonged medication desensitization.$9.56
95117Allergy shots, two or more injections, extract not includedRoutine multiple-injection allergen immunotherapy administration, rather than hourly dose escalation.$11.43
95199Unlisted service, allergy or immunologyUnlisted allergy or immunology service when no specific code describes the procedure.No office rate

How 95180 has changed in North Carolina

95180 · Office / nonfacility

$132.20

Effective 2026-10-01

The base rate is $2.48 higher than on 2025-10-01, moving from $129.72 to $132.20 (1.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $129.72changed to$132.20

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 2.11 changed to 2.04
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.665 changed to 0.639

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $132.18changed to$129.72

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.06 changed to 2.11
    • Malpractice RVU 0.08 changed to 0.07

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $130.02changed to$132.18

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $132.32changed to$130.02

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.98 changed to 2.06
    • Practice expense GPCI 0.927 changed to 0.926
    • Malpractice GPCI 0.742 changed to 0.665

  5. January 1, 2023

    RVU23A

    $132.81changed to$132.32

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.89 changed to 1.98
    • Malpractice RVU 0.09 changed to 0.08
    • Practice expense GPCI 0.928 changed to 0.927
    • Malpractice GPCI 0.819 changed to 0.742

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $132.61changed to$132.81

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.85 changed to 1.89

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $134.41changed to$132.61

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.77 changed to 1.85
    • Practice expense GPCI 0.930 changed to 0.928
    • Malpractice GPCI 0.757 changed to 0.819

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $135.84changed to$134.41

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.83 changed to 1.77
    • Malpractice RVU 0.08 changed to 0.09
    • Practice expense GPCI 0.931 changed to 0.930
    • Malpractice GPCI 0.695 changed to 0.757

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $133.68changed to$135.84

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.77 changed to 1.83

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $130.37changed to$133.68

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.68 changed to 1.77
    • Malpractice GPCI 0.732 changed to 0.695

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $130.44changed to$130.37

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.69 changed to 1.68
    • Practice expense GPCI 0.930 changed to 0.931
    • Malpractice GPCI 0.768 changed to 0.732

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $130.63changed to$130.44

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.07 changed to 0.08

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $129.98changed to$130.63

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $130.41changed to$129.98

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.70 changed to 1.69
    • Practice expense GPCI 0.929 changed to 0.930
    • Malpractice GPCI 0.732 changed to 0.768

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $127.76changed to$130.41

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.83 changed to 1.70
    • Practice expense GPCI 0.927 changed to 0.929
    • Malpractice GPCI 0.695 changed to 0.732

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $127.76

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$132.20$84.83RVU26D
2026-07-01$132.20$84.83RVU26C
2026-04-01$132.20$84.83RVU26B
2026-01-01$132.20$84.83RVU26A
2025-10-01$129.72$95.58RVU25D
2025-07-01$129.72$95.58RVU25C
2025-04-01$129.72$95.58RVU25B
2025-01-01$129.72$95.58RVU25A
2024-10-01$132.18$97.65RVU24D
2024-07-01$132.18$97.65RVU24C
2024-04-01$132.18$97.65RVU24B
2024-03-09$132.18$97.65RVU24AR
2024-01-01$130.02$96.06RVU24A
2023-10-01$132.32$99.03RVU23D
2023-07-01$132.32$99.03RVU23C
2023-04-01$132.32$99.03RVU23B
2023-01-01$132.32$99.03RVU23A
2022-10-01$132.81$100.69RVU22D
2022-07-01$132.81$100.69RVU22C
2022-04-01$132.81$100.69RVU22B
2022-01-01$132.81$100.69RVU22A
2021-10-01$132.61$100.88RVU21D
2021-07-01$132.61$100.88RVU21C
2021-04-01$132.61$100.88RVU21B
2021-01-01$132.61$100.88RVU21A
2020-10-01$134.41$103.53RVU20D
2020-07-01$134.41$103.53RVU20C
2020-04-01$134.41$103.53RVU20B
2020-01-01$134.41$103.53RVU20A
2019-10-01$135.84$103.63RVU19D
2019-07-01$135.84$103.63RVU19C
2019-04-01$135.84$103.63RVU19B
2019-01-01$135.84$103.63RVU19A
2018-10-01$133.68$101.84RVU18D
2018-07-01$133.68$101.84RVU18C
2018-04-01$133.68$101.84RVU18B
2018-01-01$133.68$101.84RVU18AR1
2017-10-01$130.37$100.30RVU17D
2017-07-01$130.37$100.30RVU17C
2017-04-01$130.37$100.30RVU17B
2017-01-01$130.37$100.30RVU17A
2016-10-01$130.44$100.14RVU16D
2016-07-01$130.44$100.14RVU16C
2016-04-01$130.44$100.14RVU16B
2016-01-01$130.44$100.14RVU16A
2015-10-01$130.63$100.22RVU15D
2015-07-01$130.63$100.22RVU15C
2015-04-01$129.98$99.73RVU15B
2015-01-01$129.98$99.73RVU15A
2014-10-01$130.41$100.13RVU14D
2014-07-01$130.41$100.13RVU14C
2014-04-01$130.41$100.13RVU14B
2014-01-01$130.41$100.13RVU14A
2013-10-01$127.76$96.53RVU13D
2013-07-01$127.76$96.53RVU13C
2013-04-01$127.76$96.53RVU13B
2013-01-01$127.76$96.53RVU13AR

Price 95180 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

95180 billing questions

When should 95180 be used instead of routine allergy injection codes?

Use 95180 for a prolonged, monitored escalation of medication doses to desensitize a patient. Routine allergen immunotherapy injections are reported with codes such as 95115 or 95117.

How are units reported?

The code is reported by the hour. Document the procedure’s duration and dosing protocol to support the units billed.

Is physician supervision separately reported?

Physician supervision and interpretation are included in 95180. The clinician’s monitoring and response to dose-related symptoms should be documented as part of the procedure.

What details should the medical record include?

Document the medication being desensitized, the dose-escalation steps, procedure duration, patient monitoring, any reaction and treatment, and whether the protocol was completed.

Can 95180 be used for ordinary venom or environmental allergy shots?

No. Those are routine allergen immunotherapy services; 95180 describes a rapid desensitization procedure involving stepwise medication dosing.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 95180PPRRVU2026_Oct_nonQPP.csv, line 12,489 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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